Stormwater- Affiliates

Facility Name: IDA COUNTY CITIZENS CONVENIENCE CENTER

Permit Type: GP #1 Legal Status: Public     File No: 5826   Authorization No: 5826-5646

Expiration Date: 3/14/2029(current) Address: 2202 INDIAN AVE. - IDA GROVE , IA 51445

County: IDA Field Office: 3 SIC: 4212 Geospatial Information: 294602(X)/4695326(Y)

Affiliates   Name Address City State Zip Phone Type IDA COUNTY 401 MOORHEAD ST. IDA GROVE IA 51445 (712)365-2626 Owner KRISTY GILBERT 401 MOORHEAD ST. IDA GROVE IA 51445 (712)364-2626 Contact Individual? Type:* --AFFILIATE TYPE-- OWNER OPERATOR CONTACT CERTIFIER Name: Title:   Company Name: C/O:   Address: Address 2: City/State/Zip   --Select-- AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA DC WV WI WY PR OT E-mail:   Contact Owner   NO YES Preferred Method of contact EMAIL US MAIL Business Phone:   Error! Phone Number Format Must Be (XXX)XXX-XXXX Ext: Home Phone:   Error! Phone Number Format Must Be (XXX)XXX-XXXX Fax:   Error! Phone Number Format Must Be (XXX)XXX-XXXX Mobile Phone:   Error! Phone Number Format Must Be (XXX)XXX-XXXX